Depression Flashcards
Labs for depression
CBC, TSH, HIV/STD, VitB12/folate
Normal score on Geriatric Depression Scale
0-5
Depression Scale available in several languages
Geriatric Depression Scale
Preliminary scored based on informant; then final score based on clinician impression after interviewing the patient
Cornell Depression in Dementia Scale
Common antidepressant
Mitazepine (Remron?)
High effort, low insight
Dementia
Low effort, apathetic
Depressed
Barrier to Tx that may be overlooked
ETOH abuse
Why do clinicians miss depression?
Prejudice
Depression without sadness can show as
anxiety, irritability, etc, poor appetite
Does major depression increase with age?
No, unless medically ill or institutionalized
Cognitive Behavior Therapy works well with?
Antidepressants
Do depression meds work immediately?
No, must give it 3-6 weeks
Which therapy approach works well?
Problem solving therapy, reminiscence therapy, grief and group therapy.
Extremely common in neurocognitive disorders
Apathy
*dementia
